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How I Handle Migraine Attacks in Different Situations (VIDEO)

Written by Manuel Penton, M.D.
Updated on August 1, 2024

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Transcript

00:00:00:00 - 00:00:29:19
Celeste
When I get the prodrome symptoms for the migraine, it usually starts in the back of the neck, and it moves to the tightness in the shoulders and a little bit of dizziness and blurry vision. I always carry my migraine medication, so that way if I feel it coming on, I can nip it in the bud. It's very hard to live with migraine when you have responsibilities, when you have important events because it's hard to cope.

00:00:29:20 - 00:00:53:23
Celeste
It's hard to function. If I feel a migraine coming on and I'm already at an event, I can sometimes say, “I feel a migraine coming on. ” I might need to go home and rest or get some medication in, and then I can come back and enjoy some of that party or whatnot it is.

00:00:54:00 - 00:01:14:08
Celeste
If I have to go, for instance, to a wedding that's going to be far, I have to do some extra planning in case a migraine hits, so I would plan to bring a support person that could be able to do the driving if I'm not able to do it. Usually I always carry my migraine medication in my purse.

00:01:14:10 - 00:01:48:09
Celeste
I would have to let the people know that if a migraine hits, I might have to step away to go to my hotel room to rest until the migraine goes away, or if it doesn't go away, just in case. So they know that it's not personal that I do live with this condition, so they can be understanding, and most people are pretty understanding about migraine. And then just allow some extra time for a hotel stay, so that I don't get too tired.

00:01:48:09 - 00:02:18:05
Celeste
I think that those things are just important to remember to take your time, not to try to rush things, have a support person, and try to get enough rest when you're traveling. Just know that you're not alone in your migraine, and that you can get through this. My name is Celeste Theodore, and I'm a member of MyMigraineTeam.

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Migraine attacks can occur at inconvenient times, like during celebrations with friends and family.

In this video, one MyMigraineTeam member, Celeste, shares how she personally navigates special events while living with migraine.

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Recognizing Migraine Symptoms at an Event

Key to Celeste’s experience is her ability to recognize when a migraine attack is beginning. In the first phase of a migraine attack, called the prodrome phase, symptoms can occur between two and 48 hours before the headache begins.1,2 Celeste’s prodrome symptoms include neck and shoulder tightness, dizziness, light sensitivity, and blurry vision. But a wide variety of other early migraine symptoms can occur in the prodrome phase, including:

  • Fatigue1
  • Mood changes1
  • Yawning1
  • Food cravings3
  • Nausea1

For people who can work with their doctors to identify symptoms like these in the prodrome phase, it’s possible to treat migraine before the head pain begins.2,4​​​​​

Celeste says that when she identifies early migraine symptoms while at an event like a party, she tells people around her that she feels symptoms starting and may need to go home to rest and take medication. If she takes this action, Celeste can sometimes rejoin the party later when she feels better and is once again able to enjoy the activity.

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    For people who can work with their doctors to identify symptoms like these in the prodrome phase, it’s possible to treat migraine before the head pain begins.2,4

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    Planning To Attend Special Events With Migraine

    Celeste spoke not only about how she addresses migraine attacks during an event but also her strategy for planning to attend special events, given that she might experience migraine symptoms.

    When planning to travel to an event that’s far from home, Celeste plans to bring along a support person and always carries her migraine medication in her purse. Her support person can take the wheel if Celeste feels unable to drive because of her migraine symptoms.

    Celeste also lets the host know ahead of time that if she experiences migraine symptoms during the event, she may need to go back to her hotel room until the migraine attack is over. If Celestes explains this possibility beforehand, she says, the host tends to be more understanding and doesn’t take it personally if she needs to leave abruptly. In these scenarios, “most people are pretty understanding about migraine,” Celeste says.

    Finally, when traveling far for an event, Celeste plans extra time for the hotel stay in case she needs to rest. Taking her time and not rushing when traveling is an essential part of her strategy for enjoying celebrations while living with migraine.

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      When early migraine symptoms start at a party, Celeste tells people she may need to go home to rest and take medication.

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      Talk With Your Doctor

      If Celeste’s experiences with migraine symptoms at inconvenient times, like during parties, remind you of your own, it may be time to talk with your doctor about the prodrome phase of migraine and how it might help you predict when a migraine headache is about to happen.4 Your doctor can help you put together an action plan for the next time you notice a change that could be connected to migraine. It’s possible that, in certain circumstances, early treatment could help you — like Celeste — avoid some migraine headaches that spring up at inconvenient times.4 Speaking with your doctor could be the first step toward getting you back to the party.

      More Videos


      Watch Celeste talk about some of the early migraine symptoms she experiences and how they can be warning signs that a migraine headache is on the way.

      Watch Celeste talk about how she made the connection between pre-headache symptoms of migraine and early migraine treatment through her migraine action plan.

      References
      1. Karsan N, Goadsby PJ. Biological insights from the premonitory symptoms of migraine. Nat Rev Neurol. 2018;14(12):699-710. doi:10.1038/s41582-018-0098-4
      2. Laurell K, Artto V, Bendtsen L, et al. Premonitory symptoms in migraine: a cross-sectional study in 2714 persons. Cephalalgia. 2016;36(10):951-959. doi:10.1177/0333102415620251
      3. Schulte LH, Jürgens TP, May A. Photo-, osmo- and phonophobia in the premonitory phase of migraine: mistaking symptoms for triggers? J Headache Pain. 2015;16:14. doi:10.1186/s10194-015-0495-7
      4. Gago-Veiga AB, Pagán J, Henares K, et al. To what extent are patients with migraine able to predict attacks? J Pain Res. 2018;11:2083-2094. doi:10.2147/JPR.S175602

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      Manuel Penton, M.D. is a medical editor at MyHealthTeam. Learn more about him here.
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